Organization Active NPI

Lifesmiles Pediatric Dentistry

  • Pediatric Dentistry
  • Howell, MI
National Provider Identifier
1508596859
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
LIFESMILES PEDIATRIC DENTISTRY
Doing business as
LifeSmiles Pediatric Dentistry
Practice address
2775 E Grand River Ave Ste 3
Howell, MI 48843-8532
Phone
(517) 518-8620
NPI assigned
Jun 10, 2022
Last updated
Jun 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Gail Czarnecki, DDSNPI 1366678237
Title
Doctor/Owner
Phone
(517) 518-8620

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X NU Primary

Addresses

Primary practice location

2775 E Grand River Ave Ste 3
Howell, MI 48843-8532

Mailing address

2775 E Grand River Ave Ste 3
Howell, MI 48843-8532
Phone (517) 518-8620

Other names 1

  • LifeSmiles Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

2775 E Grand River Ave
Ste 3
Howell, MI 48843
Phone (517) 518-8620

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654819200000",
    "number": "1508596859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2775 E GRAND RIVER AVE STE 3",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488438532",
            "telephone_number": "517-518-8620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2775 E GRAND RIVER AVE STE 3",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488438532",
            "telephone_number": "517-518-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESMILES PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A",
        "authorized_official_last_name": "CZARNECKI",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "517-518-8620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeSmiles Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Howell, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.